Synchronizing iHRIS against a Master Facility List

This page looks at strategies and concerns when synchronizing the iHRIS facility list with hose

What Is A Health Facility

Before we can begin synchronizing iHRIS facilities against another system, we need to be sure that both systems agree on the definition of a health facility. There are several places where the answer to this question is not clear. For example:

• Are we looking at both public sector and private sector facilities? Sometimes the remote system you wish to synchronize with has both public and private sector facilities listed in it. However, they may not be mandated to cover register both facilities. In this case, you will end up with conflicts when the true authority for one of these sectors starts managing their facility data.
• Are we looking a facilities that are only places that provide clinical care? This may sometimes (though not always) the case when, for example, you are trying to link to DHIS2 or other system that is interested in reporting clinical data only. iHRIS tends to have a larger set of facilities under it, for example the MOH Headquarters.

If you are asking this question and getting different answers, than you can propose the following questions and answers:

• What is a health facility? Well, it is a place where a health worker works.
• So what is a health worker? According to the definition adopted by the WHO it is anyone "engaged in the promotion, protection or improvement of the health of the population."

Notice that a health worker is not just someone providing clinical care, so this includes the Minister of Health, ambulance drivers, cleaning staff, and probably you if you are reading this.

Now that we know who the health workers are, then we can advocate to the keepers of the Master Facility List that they should include the non-clinical facilities in their Master Facility List.

Remap Existing Facilities in iHRIS

If there are existing facilities in iHRIS, then we will need to do some additional work to:

• Associate one of the "old" facilities to one of the "new" facilities. This is called "setting remapping data". This can can be done either automatically through the use of a script, or manually through the web-interface.
• Update any of the positions or other forms pointing to an old facility to point to the new facility data identified by the remapping data.

Automatic Mapping

Here are two commented examples:

• Kenya MLF: create a list of facilities with duplicate names. If there is one which comes from the MFL, then the others should remap to that

Other Resources

• DHIS2: Linking iHRIS Facilities and DHIS Organizational Units
• Kenya MFL: Kenya Master Facility List